Howard Industries PHACOJACK User manual

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THE Phacosystem
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HOWARD INSTRUMENTS INC.
PHACOJACK
THE PHACOSYSTEM
OPERATOR'S MANUAL
HowardInstruments,Inc.
3102 Greensboro Ave.
Building B, Suite 4
Tuscaloosa, Al. 35401
E-mail Address: [email protected]
http://www.howardinstruments.com
Phone: [phone]
Fax: [phone]
R

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1.1 GENERAL THE PHACOJACK RPHACOSYSTEM IS A SOPHISTICATED
INFORMATION SURGICAL TOOL DESIGNED FOR OPHTHALMIC SURGEONS.
IT IS INTENDED TO BE USED ONLY BY THOSE SURGEONS
FAMILIAR WITH EXTRACAPSULAR CATARACT EXTRACTION
(ECCE) AND/OR PHACO-EMULSIFICATION (PHACO). IT IS
DESIGNED AND MANUFACTURED TO BE RELIABLE, SAFE
AND EASY TO OPERATE.
1.2 SAFETY THE PHACOJACK RPHACOSYSTEM IS DESIGNED TO PROMOTE
OPERATOR SAFETY WHEN USED PROPERLY. THE PHACOJACK R
CONFORMS TO THE STANDARDS SET FORTH BY UNDER-
WRITERS LABORATORIES INC. FOR MEDICAL AND DENTAL
EQUIPMENT (UL544).
THE OPERATOR OF THIS SYSTEM MUST READ THIS
OPERATOR'S MANUAL CAREFULLY AND BECOME FAMILIAR
WITH ALL THE WARNINGS. THE WARNINGS CONTAINED IN
THIS MANUAL ARE IMPORTANT AND MUST BE FOLLOWED.
1.3 HOW TO USE THIS MANUAL IS YOUR GUIDE TO THE PHACOJACK R . READ
THIS MANUAL THE ENTIRE MANUAL CAREFULLY BEFORE OPERATING THE
INSTRUMENT. THE SURGICAL TEAM SHOULD BE EXPERIENCED
WITH THE SYSTEM AND IS SOLELY RESPONSIBLE FOR THE
PROPER SETTINGS FOR ALL SURGICAL PROCEDURES.
SECTION 1 INTRODUCTION

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THE MANUAL IS ORGANIZED TO ENABLE THE USER TO DO
THE FOLLOWING:
* BECOME AWARE OF THE SAFETY PRECAUTIONS FOR
WORKING WITH THIS SYSTEM.
* BECOME ACQUAINTED WITH THE OVERALL CONCEPT,
LAYOUT, USE AND INTERRELATIONSHIPS OF THE SYSTEM.
* LEARN THE BASIC OPERATING PROCEDURES OF THE
SYSTEM.
* LEARN THE RECOMMENDED SYSTEM SETUP PROCEDURE
FOR EACH SURGICAL HANDPIECE.
* BECOME FAMILIAR WITH THE NECESSARY POSTSURGICAL
DISASSEMBLY PROCEDURES AND MAINTENANCE OF THE
SYSTEM.
* LEARN TO TROUBLESHOOT MINOR PROBLEMS.
* KNOW THE SPECIFICATIONS OF THE SYSTEM.
* ORDER REPLACEMENT PARTS AND ACCESSORIES.
1.4 TERMS OF HOWARD INSTRUMENTS, INC. WARRANTS FOR A PERIOD OF
LIMITED TWO (2) YEARS FROM THE DATE OF SHIPMENT, THE PHACOJACK R
WARRANTY AND ALL ITEMS SHIPPED WITH THE UNIT, EXCEPT THE ULTRA-
SONIC (U/S) HANDPIECE, WHICH HOWARD INSTRUMENTS
WARRANTS FOR A PERIOD OF ONE (1) YEAR FROM THE DATE
OF SHIPMENT, TO BE FREE FROM DEFECTS IN MATERIALS
AND WORKMANSHIP WHEN PROPERLY INSTALLED, MAINTAINED
AND USED FOR THE INTENDED PURPOSE. THIS WARRANTY
APPLIES ONLY TO THE ORIGINAL PURCHASER/USER OF THE
INSTRUMENT, AND ONLY SO LONG AS THE EQUIPMENT IS USED
IN THE COUNTRY TO WHICH IT WAS ORIGINALLY SHIPPED.
THIS WARRANTY IS NULL AND VOID IF THE USER ATTEMPTS
TO SERVICE THE EQUIPMENT OTHER THAN PERFORMING
THE PROCEDURES DESCRIBED IN THIS MANUAL, OR IF THE
SERVICE IS PERFORMED BY PERSONS WHO ARE NOT TRAINED
AND AUTHORIZED TO DO SO. IF THE UNIT IS FOUND TO BE
DEFECTIVE WITHIN THE PERIOD SPECIFIED ABOVE AFTER
EXAMINATION BY AN AUTHORIZED SERVICE REPRESENTATIVE,
AND HOWARD INSTRUMENTS IS SATISFIED THAT THE FAILURE
WAS DUE TO DEFECTIVE MATERIALS AND/OR WORKMANSHIP,
HOWARD INSTRUMENTS WILL REPAIR OR, AT ITS OPTION,
REPLACE THE DEFECTIVE PARTS WITHOUT CHARGE.

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HOWARD INSTRUMENTS, INC. RESERVES THE RIGHT TO MAKE
SUCH AN EXAMINATION AND TO MAKE NECESSARY
REPAIR/REPLACEMENT IN ITS OWN FACTORY OR AT ANY
AUTHORIZED REPAIR STATION, OR AT THE PURCHASER'S/
USER'S PLACE OF INSTALLATION. ANY SHIPPING CHARGES
INCURRED SHALL BE PAID BY THE PURCHASER/USER OF
THE EQUIPMENT. DISPOSABLE OR CONSUMABLE ITEMS ARE
NOT COVERED BY THIS WARRANTY.
THE WARRANTY ABOVE IS THE SOLE WARRANTY OBLIGATION
OF HOWARD INSTRUMENTS AND THE REMEDY PROVIDED
ABOVE IS LIEU OF ANY AND ALL OTHER REMEDIES. THERE
ARE NO OTHER AGREEMENTS, GUARANTEES, OR WARRANTIES,
ORAL OR WRITTEN, EXPRESS OR IMPLIED, INCLUDING
WITHOUT LIMITATION WARRANTY OF MERCHANTABILITY
OR FITNESS FOR A PARTICULAR PURPOSE. HOWARD
INSTRUMENTS SHALL HAVE NO LIABILITY WHATSOEVER FOR
ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING
FROM IMPROPER USE OR UNAUTHORIZED SERVICE/REPAIR.
1.5 UNPACKING YOUR PHACOJACK RHAS BEEN INSPECTED AND CAREFULLY
SYSTEM PACKAGED FOR SHIPPING. PLEASE INSPECT IT FOR SHIPPING
INSPECTION DAMAGE. IF THE SHIPPING CONTAINER IS DAMAGED TO THE
EXTENT THAT THE EQUIPMENT MAY BE DAMAGED, DO NOT
ATTEMPT TO UNPACK. PLEASE NOTIFY BOTH THE FREIGHT
COMPANY AND HOWARD INSTRUMENTS IMMEDIATELY.
UNPACK ONLY IN THE PRESENCE OF THE FREIGHT COMPANY
REPRESENTATIVE.
IF THE SHIPPING CONTAINER APPEARS INTACT, CAREFULLY
REMOVE ITS CONTENTS AND ACCESSORIES FROM THE
SHIPPING CONTAINER AND CHECK FOR LOOSE, BROKEN OR
MISSING PARTS. PLEASE COMPARE THE PACKING SLIP WITH
THE RECEIVED PRODUCT AND REPORT ANY DISCREPANCY
TO HOWARD INSTRUMENTS, INC.
AFTER UNPACKING, THE SHIPPING CONTAINER AND
PACKING MATERIAL SHOULD BE SAVED IN THE EVENT OF
ANY RETURN.
1.6 RETURN PRIOR TO RETURN OF A UNIT, OR ANY PORTION THEREOF,
PROCEDURE HOWARD INSTRUMENTS, INC. MUST BE CONSULTED TO
AVOID ANY UNNECESSARY SHIPPING. IF RETURN IS DEEMED
NECESSARY, A RETURNED MATERIALS AUTHORIZATION (RMA)
NUMBER WILL BE ASSIGNED. THIS NUMBER MUST BE
CLEARLY MARKED ON THE OUTSIDE OF THE SHIPPING
CONTAINER.

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SECTION 2 BASIC SYSTEM INFORMATION
2.1 BASIC SYSTEM THE COMPLETE PHACOJACK RCONSISTS OF THE
COMPONENTS COMPONENTS SHOWN IN FIGURE 1 (PAGE 8). ALSO
SHOWN ARE THE ACCESSORIES AND DISPOSABLES NOT
NORMALLY SUPPLIED BY HOWARD INSTRUMENTS, INC.
EXCEPT FOR THE DISPOSABLES, THE USER HAS
SIGNIFICANT FREEDOM IN CHOOSING THE ACCESSORY
THAT BEST SUITS HIM. PLEASE CONTACT YOUR SALES
REPRESENTATIVE FOR COMPATIBILITY/SUITABILITY
OF A PARTICULAR ACCESSORY THAT YOU WISH TO USE.
2.2 GENERAL THE PHACOJACK R IS AN OPHTHALMIC SURGICAL
DESCRIPTION INSTRUMENT FOR ECCE. THE OPHTHALMIC SURGEON
HAS THE CHOICE TO REMOVE THE NUCLEUS FROM THE
EYE MANUALLY OR TO EMULSIFY THE NUCLEUS WITH
PHACO. FOLLOWING THE ECCE. PHACOJACKRASPIRATES
CATARACTOUS AND/OR CORTICAL MATERIAL FROM THE
EYE.
A RELATIVELY CONSTANT INTRAOCULAR PRESSURE (IOP)
IS MAINTAINED THROUGH THE INFUSION OF A STERILE
SOLUTION, SUCH AS BASIC SALT SOLUTION (BSS). IOP
IS ADJUSTED BY RAISING/LOWERING THE IRRIGATION
SOLUTION CONTAINER.
VIT IS USED TO CUT AND ASPIRATE VITREOUS. CAUTERY
IS USED TO CAUTERIZE BLOOD VESSELS.
2.3 SPECIFICATIONS PHACOJACK RSPECIFICATIONS ARE SHOWN IN FIGURES
2-3 (PAGES 9-10).
2.4 FEATURES & PHACOJACK RFEATURES & BENEFITS ARE SHOWN IN
BENEFITS FIGURES 4-6 (PAGES 11-13).
2.5 MODES & A DESCRIPTION OF EACH MODE OR FUNCTION OF THE
FUNCTIONS PHACOJACK RIS GIVEN IN FIGURE 7 (PAGE 14).

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2.6 SURGICAL TEAM THE FOLLOWING SURGICAL TEAM IS PRESUMED:
ANY QUESTIONS PERTAINING TO THESE INSTRUCTIONS
SHOULD BE DIRECTED TO HOWARD INSTRUMENTS, INC.
WHILE HOWARD INSTRUMENTS HAS MADE SPECIAL
EFFORTS TO ILLUSTRATE, IT IS THE RESPONSIBILITY
OF THE USER TO USE ACCEPTABLE STERILE TECHNIQUES.
CIRCULATING NURSE
SCRUB NURSE

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SECTION 3 OPERATING INSTRUCTIONS
3.1 U/S HANDPIECE THE SURGICAL TEAM SHOULD BE FAMILIAR WITH
THE SETUP & TEST PROCEDURES DESCRIBED IN
FIGURES 8-16 (PAGES 15-23) FOR THE U/S HANDPIECE.
3.2 I/A HANDPIECE THE SURGICAL TEAM SHOULD BE FAMILIAR WITH THE
SETUP & TEST PROCEDURES DESCRIBED IN FIGURES
18-26 (PAGES 25-33) FOR THE I/A HANDPIECE.
3.3 VITRECTOR THE SURGICAL TEAM SHOULD BE FAMILIAR WITH THE
SETUP & TEST PROCEDURES DESCRIBED IN FIGURES
28-33 (PAGES 35-40) FOR THE VITRECTOR.
3.4 CAUTERY THE SURGICAL TEAM SHOULD BE FAMILIAR WITH THE
HANDPIECE SETUP & TEST PROCEDURES DESCRIBED IN FIGURES
34 & 35 (PAGES 41 & 42) FOR THE CAUTERY HANDPIECE.

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SECTION 4 MAINTENANCE
4.1 CLEANING IMMEDIATELY AFTER EACH SURGICAL PROCEDURE,
DISASSEMBLE THE TUBING AND CLEAN THE I/A & U/S
HANDPIECES PER FIGURES 17 & 27 (PAGES 24 & 34).
THE CONSOLE AND FOOTPEDAL MAY BE CLEANED WITH A
SOFT DAMP (NOT WET) CLOTH. ALWAYS DISCONNECT THE
POWER CORD BEFORE CLEANING.
4.2 MAINTENANCE EXCEPT FOR CLEANING, THE CONSOLE AND FOOTPEDAL
REQUIRE NO PERIODIC MAINTENANCE. THERE ARE NO USER-
SERVICABLE PARTS INSIDE. REFER ALL REPAIRS AND
SERVICING TO HOWARD INSTRUMENTS, INC. OPENING THE
CONSOLE OR FOOTPEDAL ENCLOSURE WILL VOID THE
WARRANTY.
4.3 STORING THE WHEN THE INSTRUMENT IS NOT IN USE, DISASSEMBLE IN
INSTRUMENT TUBING AND CLEAN THE EQUIPMENT AS DESCRIBED IN
SECTION 4.1. STORE THE UNIT IN A SAFE PLACE.

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BASIC SYSTEM COMPONENTS
FIGURE 1
Howard Instruments, Inc.
4749 Appletree
Tuscaloosa, AL 35405
HOWARD INSTRUMENTSINC.
PHACOJACKR
THE PHACOSYSTEM
OPERATOR'SMANUAL
FOOTPEDAL POWER CORD
ACCESSORIES
&DISPOSABLES
VITRECTOR
TUBINGKIT
I/AHANDPIECE
U/STIP
OPERATOR'S MANUAL
U/S HANDPIECE
CONSOLE
IRRIGATION
SLEEVE
(VIT)
IRRIGATING
SOLUTION
CAUTERY FORCEPS
CAUTERY CABLE
I/ATIP

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SPECIFICATIONS (CONSOLE)
FIGURE 2
ROCKERSWITCH
(POWERON/OFF)
(POWER CORD)
REAR PANEL
29.8cm (11.75in)
12Kg(26.5Lb)
CONTROLSWITCH(SEE FIGURE 3)
VOLUME OF VACUUM
FEEDBACK
FOOTPEDAL CONNECTOR
I/AVACUUM U/S VACUUM VITRECTOR VACUUM SENSE/VENTPORT
*SENSES VACUUM GENERATED
BY PERISTALTIC PUMP
*VENTS VACUUM (SEE FIGURE 3)
PERISTALTIC PUMP
IRRIGATION PINCH VALVE
VITRECTOR CONNECTOR
U/S POWER
*SETS MAXIMUM U/S
POWER
*AUTOMATIC TUNING
*40 KHZ/60 WATTS MAX
*RANGE IS 0 -100%
RATE
*SETS MAXIMUM PERISTALTIC PUMP RATE
*RANGE IS 10-40cc/MIN
*FIXED REFLUX RATE (~25cc/MIN)
REFLUX SWITCH
TREADLE
CAUTERY SWITCH
FOOTPEDAL (SEE FIGURE 3)
9.58cm
(3.77in)
35.5cm (13.96in)
UNIVERSAL IEC POWER INPUT
120/220V
(100/240V)
50/60Hz
PHACOJACK
CAUTERY HANDPIECE CONNECTOR
U/S HANDPIECE CONNECTOR
120V
*SETS MAXIMUM I/A &
VIT VACUUM
*RANGE IS 0-500mmHg
*PNEUMATIC GUILLOTINE
*RATE IS 60-600 CUTS /MIN
*SINGLE CUT (5)
*SETS MAXIMUM U/SVACUUM
*RANGE IS 20-120mmHg
CAUTERY
*SETS CAUTERY POWER
*BIPOLAR DIATHERMY, 1 MHZ
*RANGE IS 0- 100%
220V
GROUNDINGRELIABILITYCANONLYBEACHIEVEDWHEN
CONNECTEDTOARECEPTACLEMARKED"HOSPITALGRADE"
DONOT USEDURINGUSE OF,ORPRESENCE OF,ANESTHETICS
ELECTRICASHOCKHAZARD,HIGHVOLTAGE,DONOTREMOVECORD
I/AVAC U/SVAC
MODE VIT
CAUTERY RATE U/S POWER
PERCENT PERCENT

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SPECIFICATIONS (FOOTPEDAL & CONTROL SWITCH)
FIGURE 3
CONTROLSWITCH
SURGEON SURGEON
PANEL
PANEL
FUNCTION
MODE
IRR
IRR
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
TREADLEDEPRESSION(%)
I/A ASP
IRR
IRR
U/S
ASP
U/S
ASP
VIT
VIT
IRR
MAXIMUM
PERISTALTIC
PUMPRATE
(%SETTING)
MAXIMUM
U/SPOWER
(%SETTING)
MAXIMUM
PERISTALTIC
PUMPRATE
(%SETTING)
INDICATESVENTING. WHENFOOTPEDALTREADLEISRETURNEDTOIRRFUNCTION,
VENTINGOCCURS. ANYVACUUMGENERATEDBYTHEPERISTALTICPUMPIS
IMMEDIATELYRELEASEDBYVENTING.
DETENT 1
DETENT 2
SPRINGREMOVED
FORCLARITY
TREADLE

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FEATURES & BENEFITS (ULTRASONICS)
FIGURE 4
*ADVANCEDAUTOMATICTUNING
*CHANGE U/S HANDPIECE AND/OR U/S TIP
AT ANY TIME WITHOUT LOSS OF PERFORMANCE
*NO USER INTERFACE OF ANY KIND
REQUIRED FOR TUNING
*ADVANCED U/S HANDPIECE DESIGN
TITANIUM CASE
*LIGHTWEIGHT
* CORROSION FREE
NO EXTERNAL IRRIGATION TUBE
* EASIER HANDLING
* ELIMINATION OF U/S TIP BEVEL
& IRRIGATION TUBE ALIGNMENT.
ERGONOMIC
*BALANCED
* EASE OF USE WITH DEEP EYE,
HEAVY BROW PATIENTS
U/SPOWER
U/SVAC VIT
U/SPOWER
PERCENT
VACUUM SENSE/VIT
CAUTION: SEE OPERATOR'S MANUAL FOR SAFE USE
I/AVAC U/SVAC VIT
CAUTERY RATE
MODE

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FEATURES & BENEFITS (CHOICE OF MODE)
FIGURE 5
MODE I/AVAC U/SVAC
CAUTERY U/SPOWER
RATE
I/A
STD
PULSE
VIT
MODE
MODESELECTOR
* EASY&QUICKREFERENCE
* POSITIVESELECTION
IRR

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FEATURES & BENEFITS (FLUIDICS)
FIGURE 6
VACUUM FEEDBACK
*SURGEONAIDINEVALUATING
SURGICALMANEUVERS/EVENTS
*TONEISPROPORTIONALTOVACUUM
VOLUMEOFVACUUMFEEDBACK
REARPANEL
VARIABLEVACUUMLIMIT(I/A&U/SMODES)
*CONTROLLED OCCLUSION
*CONTROLLEDPROLAPSEOFLENTICULAR&CORTICALMATERIAL
*MINMALRISKOFCAPSULETEAR
IRRIGATIONPINCHVALVE
*GRAVITY FED
*INFUSIONPRESSURESDEPENDANTON
IRRIGATIONSOLUTIONCONTAINERHEIGHT
SIX(6)ROLLERPUMP
*MINIMALASPIRATIONPULSE
*LESSIRISVAULT
*LESSCHAMBERSHALLOWING
FRONTPANEL
REFLUX
*DISENGAGECAPSULETAGS
AND/ORCORTICALMATERIAL
*INFUSIONTHROUGHASPIRATION
PORTDURINGINCISIONENTRY
PHACOJACK
I/AVAC U/SVAC
MODE VIT
CAUTERY RATE U/S POWER
PERCENT PERCENT
TUBINGKIT
*EASYSETUP
*COSTEFFECTIVE
PERISTALTICPUMPRATE
*PRECISEFOLLOWABILITY
*LOWFLOWAVAILABLEFORDELICATEMEMBRANES
*FOOTPEDALCONTROLOFFLOWFORCORTICALCLEANUP
*HIGHFLOWAVAILABLEFORFASTERNUCLEUSCORING

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MODES & FUNCTIONS
FIGURE 7
IRR.ONLYTHEIRRIGATIONPINCHVALVEIS
ACTUATEDWITHDEPRESSIONOFTHEFOOTPEDAL
TREADLE. WITHTHEIRRIGATIONPINCHVALVE
ACTUATION,IRRIGATINGFLUIDCANPASS
FROMTHEIRRIGATINGCONTAINERTO
THEPATIENT'SEYE.
I/A. IRRIGATIONANDASPIRATIONAREBOTH
PROVIDEDWITHDEPRESSIONOFTHEFOOTPEDAL
TREADLE. VACUUMLIMITRANGEIS0-500mmHGAND
ISSETBYTHEI/AVACKNOB. THERATETHATTHE
VACUUMINCREASESWITHANOCCLUSIONISDETERMINED
BYTHERATEKNOB. MAXIMUMRATEIS40cc/MIN.
WHENCONTROLSWITCHISPOSITIONEDINSURGEON,
RATEISCONTROLLEDVIATHEFOOTPEDALTREADLE,
UPTOTHERATELIMITSETTING.
VIT. ALLOWSTHEUSEOFAPNEUMATIC
VITRECTOR. MAXIMUMVACUUMIS500mmHG.
MAXIMUMRATEISRECOMMENDEDTOBE
20cc/MINANDISINDICATEDONTHERATE
KNOB. WHENCONTROLSWITCHISPOSITIONED
INSURGEON,RATEISCONTROLLEDVIA
THEFOOTPEDALTREADLE,UPTOMAXSETTING.
U/S. SELECTIONCANBEMADEINSTDORPULSE.
THISMODEALLOWSTHESURGEONTOOPERATETHE
U/SHANDPIECETOEMULSIFYTHECATARACTOUS
LENSNUCLEUS&ASPIRATETHEFRAGMENTS.
U/SPOWERISDETERMINEDBYTHEU/SPOWER
KNOB. VACUUMISLIMITTEDTO120mmHGMAXIN
BOTHSTD&PULSEMODES. THEREISNOTUNING
REQUIRED. WHENCONTROLSWITCHISPOSITIONED
INSURGEON,U/SPOWERISCONTROLLEDVIA
THEFOOTPEDALTREADLE,UPTOMAXSETTING.
REFLUX. PROVIDESABACKFLUSHOF
IRRIGATIONSOLUTIONINTHEASPIRATION
TUBING, GIVINGTHESURGEONTHEABILITY
TOFREEUNWANTEDTISSUEOCCLUDING
THETIP.
CAUTERY. PROVIDESBIPOLARDIATHERMY
WHENDEPRESSED.
I/AVAC U/SVAC
MODE VIT
CAUTERY RATE U/S POWER
PERCENT PERCENT

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U/S HANDPIECE
SYSTEM SETUP (CONSOLE CONNECTIONS)
FIGURE 8
ORIENTPLUGTOCONNECTOR
ANDINSERTPLUGINTO
CONNECTOR
LOCKPLUGBYROTATING
PLUGCOLLARATLEAST
3TURNS
ROCKERSWITCH
REARVIEW
FRONTVIEW
U/SHANDPIECE
U/STIP
STERILEFIELD
PROCEDURE
1 CONNECTFOOTPEDALTOCONSOLE
2 PLUGPOWERCORDINTOCONSOLE&OUTLET.
3 PUSHROCKERSWITCHTOONPOSITION
4 MOVEU/SHANDPIECE&U/STIPONTOSTERILEFIELD
* SCRUBNURSE
* CIRCULATINGNURSE
PHACOJACK

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U/S HANDPIECE
SYSTEM SETUP (TUBING KIT PREPARATION)
FIGURE 9
TUBING KIT - KPE 230
WARNING!
USE OF A TUBING KIT
OTHER THAN THIS TUBING KIT
MAY AFFECT SYSTEM PERFORMANCE
&CREATE POTENTIAL HAZARDS
STERILE FIELD
ASPIRATION TUBING SET
TEST CHAMBER IRRIGATING TIP SLEEVE
DRAINAGEBAG
TIP WRENCH
HANDPIECE TRAY &
EXTENDER COVER
STERILE FIELD
* CIRCULATING NURSE
* SCRUB NURSE
PROCEDURE
5 PEEL LID FROM TUBING KIT TRAY.
PLACE CONTENTS IN STERILE FIELD.
DO NOT PERMIT ANY NON-STERILE SURFACE
TO TOUCH ANY COMPONENTS IN THE STERILE FIELD.
6 UNWRAP TUBING SETS. DISCARD WRAP.
7 PEEL INNER POUCH TO FREE CONTENTS. DISCARD POUCH.
IRRIGATION TUBING SET

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U/S HANDPIECE
SYSTEM SETUP (IRRIGATION TUBING SET)
FIGURE 10
* CIRCULATING NURSE
* SCRUB NURSE
PINCH VALVE TOP VIEW
TUBINGINSTALLED
SPIKE
65cm
(25in)
(PINCHVALVE)
PROCEDURE
8 INSERT IRRIGATION TUBING SET FITTING INTO U/S HANDPIECE.
9 PASS DRIP CHAMBER TO CIRCULATING NURSE. DO NOT PERMIT DRIP
CHAMBER SPIKE TO TOUCH ANY NON-STERILE SURFACE WHILE HANDLING.
10 INSERT SPIKE INTO IRRIGATING SOLUTION BOTTLE. DO NOT
PERMIT DRIP CHAMBER SPIKE TO TOUCH ANY NON-STERILE
SURFACE WHILE INSERTING SPIKE INTO BOTTLE.
11 SET BOTTLE HEIGHT AS SHOWN.
12 PASS SILICONE TUBING PORTION OF IRRIGATION TUBING SET
TO CIRCULATING NURSE.
13 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT
(DETENT 1) AS SHOWN.
14 INSERT TUBING INTO PINCH VALVE,
SLIDE TUBING TO SEAT PROPERLY.
15 RELEASE FOOTPEDAL TREADLE.

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U/S HANDPIECE
SYSTEM SETUP (ASPIRATION TUBING SET)
FIGURE 11
* CIRCULATING NURSE
* SCRUB NURSE
(2X SILICONE STOPPERS)
(SILICONE TUBING)
(PUMP LATCH)
(PUMP ARM)
(ADJUSTMENT SCREW)
DRAINAGE BAG
MAXIMUM CAPACITY 500ml
(TIP WRENCH)
PROCEDURE
16 INSERT ASPIRATION TUBING. SET FITTING INTO U/S HANDPIECE.
17 PASS PUMP TUBING WITH FILTER TO CIRCULATING NURSE.
18 FIRMLY ATTACH FILTER TO VACUUM SENSE/VENT FITTING.
LIFT PUMP LATCH AS SHOWN TO OPEN PUMP ARM.
STRETCH SILICONE TUBING AROUND PUMP HEAD AS SHOWN.
19 CLOSE PUMP ARM FULLY UNTIL LATCH IS FULLY SEATED
AGAINST ADJUSMENT SCREW.
20 INSERT TUBING INTO DRAINAGE BAG.
21 SCREW U/S TIP ONTO U/S HANDPIECE TIGHTLY USING
TIP WRENCH.

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U/S HANDPIECE
SYSTEM SETUP (SET CONSOLE)
FIGURE 12
* CIRCULATING NURSE
* SCRUB NURSE
DRAINAGE BAG
MAXIMUM CAPACITY 500ml
SURGEON
PANEL
PROCEDURE
22 SET MODE SWITCH TO U/S (STD OR PULSE). SET RATE
& U/S POWER.
23 SET CONTROL.
24 ATTACH THREADED IRRIGATING TIP SLEEVE ON
U/S HANDPIECE AS SHOWN.